Her organization and attention improved, but she still experienced impairing symptoms during the workday — difficulty completing work and poor frustration management. At home, family life was difficult, and she was dissatisfied with her parenting.
She had nothing left for her children. She had much better symptom control in the evening during family time. She felt less anxious. We talked about further reducing her stimulant dose. Her supervisor had noted several improvements on her latest performance review at work.
Family life was better when she got home from work, although still a challenge. Heidi has taken that combination for several years without loss of effectiveness.
Side effects are the most common reason people with ADHD skip or stop their stimulant medication. Eugene is a year-old college student who has gotten decent grades since starting treatment during his freshman year. He was taking 40 mg of Adderall XR , and it helped him focus in class.
His typical day started at 10 a. Coaching had improved his study habits, but procrastination and end-of-semester cram-fests were still there. I changed his treatment plan by adding 40 mg of atomoxetine and decreasing Adderall to 30 mg. I did this over the summer, because he was worried that his grades would fall on the new treatment plan. At his one-month visit, his rating scale symptom score dropped to 15, and his symptom score reduction shot up to 67 percent.
I switched Eugene to 50 mg of lisdexamfetamine Vyvanse and continued atomoxetine 40 mg. There is only 20 mg of amphetamine in this dose of Vyvanse, so it represents a two-thirds reduction in his stimulant dosage. When I saw Eugene at his next six-month visit, his rating scale symptom score had dropped to 12 SSR 74 , and his GPA for the fall semester went up to 3. He was able to take his medications every day. Not everyone improves as much as Heidi and Eugene. Combination therapy is often more expensive than using one medication, although stimulant dose reduction sometimes balances the cost of taking the second medication.
In addition, trials to select and fine-tune the second medication can be challenging for providers. I use atomoxetine, but other practitioners add guanfacine, bupropion, and antidepressants to a stimulant, all of which can be effective. Both Strattera and Adderall have a dangerous potential drug interaction with monoamine oxidase inhibitors MAOIs , such as selegiline.
The combination can cause a serious, possibly fatal reaction. Strattera or Adderall may also interact with blood pressure medicines. Taking Strattera or Adderall in combination with birth control pills may increase the risk of high blood pressure —blood pressure should be monitored. This is not a full list of drug interactions. Other drug interactions may occur. Consult your healthcare provider for a full list of drug interactions.
Strattera atomoxetine is a non-stimulant medication. It is used in the treatment of ADHD in adults and children. Strattera and Adderall are both used to treat ADHD in adults and children and Adderall is also used for narcolepsy ; however, they have many differences such as in drug class, warnings, prices, side effects, and drug interactions, as outlined above.
Also, Strattera is not a stimulant drug. Adderall is a stimulant drug. Other stimulant drugs you may have heard of include Ritalin or Concerta both contain methylphenidate and Vyvanse lisdexamfetamine. While each drug can be effective, there is no data comparing the two drugs directly.
Your healthcare provider can help you decide if one of these drugs is right for you. Because there are no adequate, well-controlled studies in pregnant women, Strattera should not be used in pregnancy unless you and your healthcare provider determine that the benefits outweigh risks. If you become pregnant while already taking Strattera or Adderall, consult your prescriber immediately for medical advice. No —neither of these medications should be mixed with alcohol. Alcohol can increase the side effects of Strattera and decrease its effectiveness.
Alcohol should also be avoided when taking Adderall. Too much alcohol can increase heart rate and blood pressure, which can be even more dangerous in combination with Adderall. It can even lead to a heart attack or stroke and increase the risk of alcohol poisoning. Strattera can help treat ADHD symptoms. By increasing the amount of norepinephrine, Strattera can help with attention span and focus and reduce impulsive and hyperactive behavior. By increasing norepinephrine, Strattera should elevate the mood and improve concentration and other ADHD symptoms in most cases.
Rarely patients may exhibit hostility, agitation, and aggressiveness while taking Strattera. Strattera is not a stimulant like Adderall. However, Strattera does have some of the same potential side effects as Adderall and other stimulants, like a faster heartbeat or increased blood pressure.
The side effects of Strattera depend upon the individual. Some people tolerate it very well and do not notice any stimulant-like side effects, while others do experience more side effects.
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